Fox Travel
SECURE SERVER
Charge Card Authorization Form

Submission of this form is your agreement to permit Fox Travel to charge your credit card and that you hereby agree to pay to your designated charge card company the amount you have authorized

Until your card is actually charged by Fox Travel, the amounts quoted are subject to change by the travel supplier, especially for airfare. You will be notified by Fox Travel of any supplier change, inclding airfare, before your card is charged.

Payer Information
Today's Date:  
REQUIRED - Your Name:
(Exactly as it appears on your Credit Card) 		 
Your Billing Address:
(Address and Zip must match CC billing address) 		 
Cell Phone  
Evening/Other Phone  
Best Number to Text You  
REQUIRED - Email Address  
Best Way to Reach You:  
Cell Phone
Evening/Other Phone
Text Message
Email
Travel Counselor Name  
Passenger Information
Passenger #1 :
Name as it appears on Passport:  
Birthdate:  
Passport #:  
Passport Exp. Date:  
Passenger #2 :
Name as it appears on Passport:  
Birthdate:
Passport #:
Passport Exp. Date:
Passenger #3 :
Name as it appears on Passport:  
Birthdate:
Passport #:
Passport Exp. Date:
Passenger #4 :
Name as it appears on Passport:  
Birthdate:
Passport #:
Passport Exp. Date:
EMERGENCY CONTACT INFORMATION    
EMERGENCY Contact Name  
EMERGENCY Contact Relationship  
EMERGENCY Contact Phone  
EMERGENCY Contact EMail  
Trip Details
Destination Resort or Cruise:  
Room or Cabin Category:  
Destination Country:  
Departure Date   Provide Exact Dates
Return Date   Provide Exact Dates
 
Credit Card Details
Payment Amount  
Type of Card  
American Express
MasterCard
Visa
Discover
Credit Card Number  
Expiration Date:  
Security Code #:  
Amex - 4 digit number above CC# on FRONT of card
MC, V, DIS - last 3 digit number on BACK signature strip
This Payment is For:  
     
Additional Information or Requests: For example: location in resort, cruise deck, birthday's, anniversaries, etc...  
 
 
REQUIRED -Check here to Confirm that you will pay for the vacation cost you authorize above, have read, agree to and accept the Fox Travel Terms and Conditions specified in the Fox Travel webiste at:  https://foxtravel.net/terms-and-conditions/
Portions of this package may not be or are not refundable up to 100% of the vacation value. Agency cancellation fee is $50/per person and additional cancellation penalties may apply from both the travel supplier and Fox Travel, Fox Ascoli Travel, Inc.

 

I have ACCEPTED TRIP INSURANCE - Classic Plan

I have ACCEPTED TRIP INSURANCE - Classic Plan with Required to work

I have DECLINED TRIP INSURANCE - By checking this box, I acknowledge that I have been offered and I have declined the purchase of; Trip cancellation (including airline, cruise, and tour operator default) and travel accident/limited sickness/medical/trip interruptions insurance. I will not hold Fox Ascoli Travel, Inc, d/b/a Fox Travel and/or its agents responsible for any expenses incurred by me resulting from delay/cancellation of my trip, accident sickness, death, stolen or damaged baggage or lost property. Optional Travel Protection Coverage offered by ALLIANZ TRAVEL INSURANCE is available only to residents of the United States.


SEND then WAIT FOR THE CONFIRMATION.
If get redirected to confirmation page that means that we have received your payment information.
If you get any type of ERROR message or did not get redirected to a confirmation page... that means that we did not receive your payment information Please contact us via e-mail at info@foxtravel.net or by phone at 281-363-0808.